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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic herniorrhaphy: results and technical aspects in 450 consecutive procedures
W P Geis1, W B Crafton, M J Novak
1Lutheran General Hospital, University of Chicago, Ill. 60068.
Surgery
|October 1, 1993
Summary
Laparoscopic inguinal herniorrhaphy using mesh is safe and effective, offering minimal patient discomfort and quick recovery. This tensionless repair method is recommended for many patients needing hernia surgery.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Controversies exist regarding laparoscopic herniorrhaphy effectiveness, patient outcomes, and technical aspects.
- A review of 450 consecutive laparoscopic inguinal herniorrhaphies was conducted.
- The study examined the rationale, technical details, and outcomes of these procedures.
Purpose of the Study:
- To evaluate the safety and effectiveness of laparoscopic inguinal herniorrhaphy.
- To assess patient outcomes and technical aspects of the procedure.
- To compare laparoscopic repair with traditional hernia repair methods.
Main Methods:
- Performed 450 consecutive laparoscopic inguinal herniorrhaphies using synthetic mesh for tensionless repair.
- Adhered to preperitoneal herniorrhaphy surgical principles.
- Transfixed mesh to landmarks with sutures/staples, closing peritoneum to separate mesh from abdominal contents.
Main Results:
- 90% of patients discharged promptly; 10% had brief hospital stays for unrelated issues.
- No mesh or adhesive complications were observed.
- Three recurrences (0.67%) occurred within 2-4 months, with two successfully repaired laparoscopically.
Conclusions:
- Laparoscopic inguinal herniorrhaphy with mesh is a safe and effective procedure.
- It offers advantages over classic methods, particularly tensionless repair with mesh.
- Patients experience minimal morbidity, rapid ambulation, and reduced discomfort, making it a preferred option for many.
